NUR 2488 Mental health nursing Exam 2 (100 OUT OF 100) Questions and Answers (GRADED A) - Rasmussen

NUR 2488 Mental health nursing Exam 2 (100 OUT OF 100) Questions and Answers (GRADED A) - Rasmussen Instructions: Answer the following questions to the best of your ability. Each question has multiple-choice options. Choose the best answer for each question. 1. Periods of mental illness or dysfunction marked by an increase in the signs, symptoms, and seriousness are called: 1. Chronicity 2. Acute episodes 3. Remissions 4. Exacerbations Answer: 4. Exacerbations ________________________________________ 2. The sexual practices of many people with chronic mental illness place them at increased risk for contracting and transmitting: 1. Pregnancy 2. Tuberculosis 3. The common cold 4. Sexually transmitted diseases Answer: 4. Sexually transmitted diseases ________________________________________ 3. When anxiety is a maladaptive response in an individual, it has the characteristic of: 1. Effective adaptation to stressors 2. Ineffective coping 3. Helping an individual learn and grow from experiences 4. Eliminating uneasy feelings Answer: 2. Ineffective coping ________________________________________ 4. A male client with an anxiety disorder sometimes experiences panic attacks following high levels of anxiety. The nurse would expect his physiologic responses to include: 1. Normal vital signs and little to no muscle tension 2. Increased vital signs, urinary urgency and frequency, diaphoresis, and rigid and tense muscles 3. Increased vital signs, followed by a drop in vital signs, and poor muscle coordination 4. Slight elevation in vital signs and some tension Answer: 2. Increased vital signs, urinary urgency and frequency, diaphoresis, and rigid and tense muscles ________________________________________ 5. A married couple who has separated and is planning to divorce seeks counseling for their 9-year-old daughter. The daughter has been experiencing symptoms of severe anxiety during insignificant situations and refuses to discuss the divorce with her parents. What type of childhood anxiety is the child most likely experiencing? 1. Separation anxiety disorder 2. Overanxious disorder 3. Avoidance behaviors 4. Phobia Answer: 3. Avoidance behaviors ________________________________________ 6. A female client tells her care provider that she is terrified to go to the grocery store. The care provider is aware that this client most likely has: 1. Posttraumatic stress disorder 2. Behavioral addiction 3. Phobic disorder 4. Agoraphobia Answer: 4. Agoraphobia ________________________________________ 7. The legal term that describes any behavior that presents an immediate threat to another person is: 1. Anger 2. Assault 3. Acting out 4. Aggression Answer: 2. Assault ________________________________________ 8. In today's society, violence is: 1. A nuisance 2. Not a problem 3. Of minor concern 4. A serious problem Answer: 4. A serious problem ________________________________________ 9. The client had a terrible argument with his wife during which he hit her several times. Today, he arrives from work with flowers and an expensive necklace "to make up." His behavior is characteristic of the stage in the assault cycle known as the ____________ stage. 1. Crisis 2. Trigger 3. Depression 4. Escalation Answer: 3. Depression ________________________________________ 10. To assess a client's potential for engaging in inappropriate behaviors, the caregiver should perform as soon as possible after admission a: 1. Physical examination 2. Mental status assessment 3. Review of laboratory tests and other results 4. Psychosocial examination Answer: 2. Mental status assessment ________________________________________ 11. The ability to express directly one's feelings or needs in a way that respects the rights of other people and retains the individual's dignity is called: 1. Anger 2. Adjustment 3. Aggression 4. Assertiveness Answer: 4. Assertiveness ________________________________________ 12. Harm to another's health or welfare caused by failure to provide for basic needs or placing the person's health or welfare at unreasonable risk is best described as: 1. Abuse 2. Neglect 3. Violence 4. Exploitation Answer: 2. Neglect ________________________________________ 13. The leading cause of maternal injury and death during pregnancy is: 1. Trauma 2. Accidents 3. Hypertension 4. Drug and alcohol use Answer: 1. Trauma ________________________________________ 14. The child who is more likely to behave aggressively toward his or her peer is: 1. Anne, who reads in her spare time 2. Dale, who wrestles after school daily 3. Carl, who plays tackle on the football team 4. Brian, who watches 6 hours of television a day Answer: 4. Brian, who watches 6 hours of television a day ________________________________________ 15. Whenever a suspected victim of violence is brought into the health care system, the first priority is to: 1. Ensure the client's safety 2. Assure the client's relatives 3. Ensure a thorough nursing assessment 4. Ensure an examination for possible evidence Answer: 1. Ensure the client's safety ________________________________________ 16. The nurse suspects a mother of abusing her child. Which behavior is the most likely cause? 1. The mother is concerned about the child's health. 2. The child relates well to the nursing staff with appropriate interaction for age. 3. The child appears overly compliant, passive, and undemanding with the mother and staff. 4. The child is at a normal level of physical, emotional, and intellectual development for his or her age. Answer: 3. The child appears overly compliant, passive, and undemanding with the mother and staff. ________________________________________ 17. Most depressive responses in children are tied to: 1. Their moods 2. Their environment 3. General events or situations 4. A specific event or situation Answer: 4. A specific event or situation ________________________________________ 18. Clients with bipolar 1, bipolar 2, or cyclothymic disorders exhibit different types of: 1. Mania 2. Anxiety 3. Dysthymia 4. Regression Answer: 1. Mania ________________________________________ 19. Feelings of worthlessness, guilt, and despair are expressed in a female client's every thought, movement, and activity. Her physical appearance has declined, and she is commonly unable to eat. What is the client experiencing? 1. Mild depression 2. Severe depression 3. Moderate depression 4. A normal emotional state Answer: 2. Severe depression ________________________________________ 20. The client has recently started antidepressant drug therapy. He approaches the nurse complaining of a headache, palpitations, and stiffness in the neck. What is the nurse's priority action? 1. Notify the physician immediately 2. Notify the physician when convenient 3. Give the client two aspirin tablets and monitor his headache and heart rate 4. Reassure the client that these are common side effects of his medication Answer: 1. Notify the physician immediately ________________________________________ 21. Clients who are taking lithium must monitor their water and salt intake because: 1. Lithium competes with water in the body 2. Large amounts of water concentrate lithium in the blood 3. Lithium is excreted by the kidneys more rapidly than sodium 4. Sodium is excreted by the kidneys more rapidly than lithium Answer: 3. Lithium is excreted by the kidneys more rapidly than sodium ________________________________________ 22. Chemical restraint: 1. Antipsychotic medication; a medication that reduces or eliminates psychotic symptoms and quiets behavior ________________________________________ 23. Chronic mental illness: 1. The presence of one or more recurring psychiatric disorders that result in significantly impaired functional abilities... ________________________________________ 24. Comorbidity: 1. Two medical or psychiatric disorders present at the same time... ________________________________________ 25. Exacerbations: 1. Periods marked by an increase in the signs and symptoms and seriousness of a problem or disorder... ________________________________________ 26. Psychiatric rehabilitation: 1. Multidisciplinary services that assist people with mental health problems to readjust and adapt to life in the community as actively and independently as possible; includes personal adjustment and social, residential, educational, and vocational services... ________________________________________ 27. Remissions: 1. In chronic mental illness, times of partial or complete disappearance of symptoms... ________________________________________ 28. Addictive behaviors: 1. Obsessive-compulsive activities that take the form of certain repetitive behaviors, such as gambling, shopping, working, and engaging in excessive sexual activity... ________________________________________ 29. Agoraphobia: 1. Anxiety about possible situations (especially open or public places) in which a panic attack may occur... ________________________________________ 30. Anxiety: 1. Vague, uneasy feeling experienced by individuals in response to real or imagined stress... ________________________________________ 31. Anxiety disorder: 1. Psychic tension that interferes with a person's ability to perform activities of daily living... ________________________________________ 32. Anxiety state: 1. State that occurs when one's coping abilities are overwhelmed and emotional control is lost... ________________________________________ 33. Anxiety trait: 1. Learned component of the personality in which an individual reacts to relatively non-stressful situations with anxiety... ________________________________________ 34. Avoidance behaviors: 1. Refusal to cope with anxiety-producing situations by ignoring them... ________________________________________ 35. Compulsion: 1. Distressing recurring behavior that must be performed to reduce anxiety... ________________________________________ 36. Coping mechanisms: 1. Any thought or action that is aimed at reducing stress... ________________________________________ 37. Defense mechanisms: 1. Unconscious, intrapsychic reaction that offers protection to the self from a stressful situation... ________________________________________ 38. Obsession: 1. Persistent, recurring, inappropriate, and distressing thoughts... ________________________________________ 39. Panic attack: 1. Brief period of intense fear or discomfort accompanied by various physical and emotional reactions... ________________________________________ 40. Phobia: 1. Unnatural fear of people, animals, objects, situations, or occurrences... ________________________________________ 41. Signal anxiety: 1. Learned anxiety response to an anticipated event... ________________________________________ 42. Traumatic stress reaction: 1. A series of behavioral and emotional responses following an overwhelmingly stressful event... ________________________________________ 43. Acting out: 1. Use of inappropriate, detrimental, or destructive behaviors to express current or past emotions... ________________________________________ 44. Aggression: 1. Forceful attitude or action that is expressed physically, symbolically, or verbally... ________________________________________ 45. Anger: 1. Normal emotional response to a perceived threat, frustration, or distressing event; occurs in response to an individual's frustration level or feelings of being threatened or losing control... ________________________________________ 46. Assault: 1. Any behavior that presents an immediate threat to another person... ________________________________________ 47. Assertiveness: 1. Ability to directly express one's feelings or needs in a way that respects the rights of other people and retains the individual's dignity... ________________________________________ 48. Battery: 1. Unlawful use of force on a person... ________________________________________ 49. Impulse control: 1. Ability to express one's emotions in appropriate or effective ways... ________________________________________ 50. Intermittent explosive disorder: 1. Pattern of behavior outburst - failure to resist aggressive impulses that result in the destruction of property or assault of another living being; person is 18 years old or older, has a pattern of being upset to being remorseful. ________________________________________ 51. Passive aggression: 1. Indirect expressions of anger through subtle, evasive, or manipulative behaviors... ________________________________________ 52. Violence: 1. Any behavior that threatens or harms another person or his or her property... ________________________________________ 53. Abuse: 1. Process of causing an individual harm... ________________________________________ 54. Agitation: 1. Behavior that is verbally or physically offensive... ________________________________________ 55. Battering: 1. Repeated abuse of someone, usually a woman, child, or older person... ________________________________________ 56. Domestic violence: 1. Aggressive behaviors directed toward significant others... ________________________________________ 57. Emotional abuse: 1. The rejection, criticism, terrorizing, and isolation of a significant other... ________________________________________ 58. Exploitation: 1. Use of another individual for selfish purposes, profit, or gain... ________________________________________ 59. Incest: 1. Inappropriate sexual activities with one or more members of one's family... ________________________________________ 60. Machismo: 1. Compulsive masculinity evidenced by preoccupation with physical strength and athletic prowess, attempts to demonstrate daring, or violent and aggressive behaviors... ________________________________________ 61. Neglect: 1. Lack of meeting a dependent person's basic needs for food, clothing, shelter, love, and belonging... ________________________________________ 62. Physical abuse: 1. Inflicted injury to a child, ranging from minor bruises and lacerations to severe trauma and death ________________________________________ 63. Pornography: 1. Writings, pictures, or other messages that are intended to sexually abuse... ________________________________________ 64. Prostitution: 1. The selling of sexual favors... ________________________________________ 65. Rape: 1. Forced sexual assault... ________________________________________ 66. Sexual abuse: 1. Intentional engaging of children or others in inappropriate or illegal sexual activities... ________________________________________ 67. Shaken baby syndrome: 1. Vigorous manual shaking of an infant who is being held by the extremities or shoulders, leading to whiplash-induced intracranial and intraocular bleeding and no external signs of head trauma... ________________________________________ 68. Affect: 1. Outward manifestation of a person's feelings or emotions... ________________________________________ 69. Bipolar disorder: 1. Behavioral problems associated with sudden, dramatic shifts in emotional extremes... ________________________________________ 70. Cyclothymic disorder: 1. Pattern of behaviors involving repeated mood swings, alternating between hypomania and depressive symptoms... ________________________________________ 71. Depression: 1. Emotional state characterized by feelings of sadness, disappointment, and despair... ________________________________________ 72. Dysthymia: 1. Daily moderate depression that lasts for longer than 2 years... ________________________________________ 73. Emotion: 1. Nonintellectual reaction to various stimuli, based on an individual's perceptions... ________________________________________ 74. Hypomania: 1. Exaggerated sense of cheerfulness and well-being... ________________________________________ 75. Mania: 1. Extreme emotional state characterized by excitement, great elation, over-talkativeness, increased motor activity, fleeting grandiose ideas, and agitated behaviors... ________________________________________ 76. Manic depression: 1. Behavioral problems caused by sudden, dramatic shifts in emotional extremes; once called bipolar disorder... ________________________________________ 77. Mood disorder: 1. Prolonged emotional state that influences one's whole personality and life functioning... ________________________________________ 78. Postpartum depression: 1. A condition characterized by symptoms of tearfulness, irritability, hypochondria, sleeplessness, impairment of concentration, and headache in the days and weeks following childbirth... ________________________________________ 79. Religiosity: 1. Delusions of great spirituality; believing one has powers to communicate with God or be a spirit... ________________________________________ 80. Seasonal affective disorder: 1. Levels of mild to moderate depression experienced during long winter days; symptoms begin to lift with the coming of spring... ________________________________________ 81. Situational depression: 1. Depressive responses tied to a specific event or situation that can be traced to a recognizable cause... ________________________________________ 82. Which of the following theoretical models focuses on depression as a group of learned responses? A. Interpersonal model B. Psychoanalytical model C. Social model D. Behavioral model Answer: D. Behavioral model ________________________________________ 83. Depression in adolescence usually is related to loneliness, family strengths, self-esteem, and which of the following? A. Parent-teen communication B. Peer relationships C. Academic issues D. Teacher-teen communication Answer: A. Parent-teen communication ________________________________________ 84. Which of the following individuals is more likely to experience depression? A. Older adult with pet B. Male older adult C. Medically ill older adult D. Older adult living alone Answer: C. Medically ill older adult ________________________________________ 85. A middle-aged man has lost all sources of income. He is unable to function, cares about nothing, and feels powerless. His feelings of worthlessness and despair have lasted 3 weeks. He is suffering from which of the following? A. Dysthymia B. Mild depression C. Moderate depression D. Major depressive episode Answer: D. Major depressive episode ________________________________________ 86. Assessment of a client reveals severe and sudden mood swings from mania to depression. Which diagnosis should the nurse suspect? A. Dysthymic disorder B. Bipolar disorder C. Major depressive disorder D. Personality disorder Answer: B. Bipolar disorder ________________________________________ 87. A client characteristically experiences fatigue, gloom, and loss of energy during the winter months. Which diagnosis should the nurse suspect? A. Cyclothymic disorder B. Mild depressive disorder C. Mood disorder D. Seasonal affective disorder Answer: D. Seasonal affective disorder ________________________________________ 88. Which client would the nurse expect to prepare for electroconvulsive therapy (ECT)? A. A female client with dysthymic disorder B. A male client with major depressive disorder and history of heart disease C. A male client with major depression and at risk for suicide D. A female client with major depression and brain metastasis Answer: C. A male client with major depression and at risk for suicide ________________________________________ 89. Which instruction should the nurse give a client who is prescribed lithium carbonate (lithium)? A. Maintain stable fluid intake B. Exercise in hot weather C. Restrict fluid D. Restrict salt Answer: A. Maintain stable fluid intake ________________________________________ 90. A depressed client has been prescribed a selective serotonin reuptake inhibitor. Which medication may have been prescribed? A. Amitriptyline (Elavil) B. Clonazepam (Klonopin) C. Sertraline (Zoloft) D. Lorazepam (Ativan) Answer: C. Sertraline (Zoloft) ________________________________________ 91. A client comes in demonstrating increased activity and agitation and gives much more importance to thoughts and ideas. This client is demonstrating: Answer: Mania ________________________________________ 92. Which theory states that males are socialized throughout childhood to behave more aggressively and violently? A. Anthropological theory B. Feminist theory C. Social learning theory D. Sociological theory Answer: B. Feminist theory ________________________________________ 93. Which of the following is a common characteristic of an abused woman? A. Nontraditional B. Educated C. Young D. Nonaggressive Answer: A. Nontraditional ________________________________________ 94. Which of the following is a common characteristic of an abuser? A. History of substance abuse B. Control of emotions C. Secure with self D. Blames self for own problems Answer: A. History of substance abuse ________________________________________ 95. An abused pregnant woman gives birth to a baby girl. The nurse should suspect which of the following? A. Mother openly seeks help B. Delivery at full-term C. Low birth-weight infant D. Adequate prenatal care Answer: C. Low birth-weight infant ________________________________________ 96. A nurse recognizes unexplained fussiness and irritability in an infant as well as unexplained injuries. The nurse should suspect which of the following? A. Sexual abuse B. Shaken baby syndrome C. Neglect D. Munchausen syndrome by proxy Answer: B. Shaken baby syndrome ________________________________________ 97. Which of the following is a bullying behavior? A. Taking property from the disliked person B. Avoiding a disliked person C. Disliking the way the person dresses D. Encouraging others to stay away from the disliked person Answer: D. Encouraging others to stay away from the disliked person ________________________________________ 98. The nurse should most suspect which of the following when presented with an older, mentally impaired woman who is depressed and underweight and has poor personal hygiene? A. Neglect B. Exploitation C. Physical abuse D. Emotional abuse Answer: A. Neglect 4o mini